Show me the data... (Does simulation really work?)

Posted by Ben King on March 04, 2020

This study published February, 2020 in the Journal of Trauma and Acute Care Surgery contributed to the substantial and growing body of research dedicated to the question, does simulation work? Can we show improved patient outcomes as a result of experiential education facilitated by the facsimile creation of life like rehearsal?

Unequivocally the answer is, yes.

The evidence base for this conclusion is neither small or narrow in its focus. Take for example this study which is assessing whether trauma teams who participate in regular high fidelity simulations show an improvement in the time it takes to establish a chest tube in a trauma patient.

"Median pretraining time for resuscitative thoracotomy was 14 minutes (IQR, 8–32 minutes); posttraining median time was 3 minutes (IQR, 2.7–8 minutes,p= 0.02)"

Read that again...

Before simulation based learning, median time to place a chest tube = 14 minutes
After simulation based learning, median time to place a chest tube = 3 minutes
The delta of this is 11 minutes.

Blood and air filling your chest cavity, placing pressure on your vena-cava likely resulting in its collapse leading to PEA cardiac arrest and the dreaded trauma arrest death spiral. An eleven minute reduction in the time to facilitate the evacuation of the blood and or air may very well be the difference between life and death.  This just one of many studies that strongly correlate the integration of serial simulation into clinical practice resulting in improved care and better patient outcomes.

We compile studies to support the impact of simulation based education in healthcare. We have identified that simulation can be reliably attributed to;

  1. Improves patient outcomes
  2. Reduces preventable medical error
  3. Increases team performance
  4. Identifies latent patient safety threats

Simulation works!

 

Park, C., Grant, J., Dumas, R. P., Dultz, L., Shoultz, T. H., Scott, D. J., … Cripps, M. W. (2020). Does simulation work? Monthly trauma simulation and procedural training are associated with decreased time to intervention. Journal of Trauma and Acute Care Surgery88(2), 242–248. doi: 10.1097/ta.0000000000002561

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Topics: Simulation, From The CEO, Medical Residents

Simulation Team Leaders Achieve CHSE Certification

Posted by Nathan Williams on November 07, 2019
Simulation Team Leaders Achieve CHSE Certification, making Best Practice Medicine history.

We have crossed a major threshold in the history of Best Practice Medicine, the Project Partner for Simulation in Motion Montana Inc. We're proud to announce that Simulation Team Leaders Brodie Verworn and DJ Olson have both achieved national credentialing as a Certified Healthcare Simulation Educator (CHSE). To accomplish this distinguished credentialing, they spent months preparing for the exam and familiarizing themselves with validated best practices in simulation education. Created by The Society for Simulation in Healthcare, the CHSE certification "has been developed as a service to the healthcare simulation community. The CHSE certification is intended for individuals who perform healthcare simulation in the educator role without restriction to simulation modality, setting (locations where simulation takes place), geographic location, learner population, function (e.g. teaching, assessment), and profession." (1)

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Topics: Simulation, News

Simulation In Motion Montana Turns 2 Years Old!

Posted by Nathan Williams on July 15, 2019

By the time a child turns two years old, the experts say they should be able to do all kinds of fun things like stand on tiptoes, throw a ball, and begin to show more independence. Our own "baby", the Simulation in Motion Montana (SIM-MT) program, turns 2 years old this month and we are thrilled to report that we have three healthy, thriving little mobile sim labs on our hands. They're throwing balls, standing on tiptoes, and traveling all over Montana changing lives like they were born for it. It seems like just yesterday when the little labs were a twinkle in the eye of all those who brought her into the world. Now, in just a short time, we've hit some incredible milestones, working with thousands of rural healthcare clinicians across Montana, reducing error, improving outcomes and saving lives.

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Topics: Simulation, News

Job Openings: Medical Simulation Team Leader - Bozeman, MT

Posted by Christine Dusl on June 27, 2019

Are you looking for a challenging, unique career in Emergency Medical Education, based in beautiful Bozeman Montana? We are searching for a Medical Simulation Team Leader to join our team. This position is broadly responsible for the day to day operation of the Simulation in Motion, Montana (SIM-MT) mobile lab, running individual simulation events, and managing the assigned simulation specialists. Want to know more? Keep reading for more details or apply here!

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Topics: Simulation, News, Job Openings

BREAKING NEWS: SIM-MT Achieves Accreditation From Society for Simulation in Healthcare

Posted by Nathan Williams on May 29, 2019

Bozeman, MT, May 29, 2019 - This just in: Best Practice Medicine, a professional medical education company, and Simulation in Motion Montana, Inc. (a partnership known as SIM-MT) are pleased to announce a new achievement in healthcare simulation accreditation. After an extensive review, the Society for Simulation in Healthcare and the Council for Accreditation of Healthcare Simulation Programs granted SIM-MT provisional accreditation, making them an official Accredited Simulation Program. The Society for Simulation in Healthcare (SSH) is the internationally recognized accrediting body of simulation in healthcare. This esteemed recognition makes SIM-MT the first and only SSH Accredited mobile simulation program in the world!

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Topics: Simulation, Emergency Medical Training, News

A Week With MT Army National Guard | Simulation in Motion - Montana

Posted by Matt MaCoy on April 30, 2019

The golden March sunrise cuts through the cold morning fog as the ignition of two Sikorsky HH-60M Blackhawk helicopters crescendos. It’s all hands on deck at the Helena air base with a dozen Montana National Guardsmen scurrying about, rigging up for their mission. But, rather than some foreign insurgency or a dramatic mountain rescue, there is another objective in store for the day. The mission on the minds of the Guardsmen in C-Company of the 1-189th is that of refining and perfecting their medical practice so when disaster does strike, they are prepared.

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Topics: Simulation, Emergency Medical Training

The SIM-MT Difference: Interview with Joe Poole

Posted by Matt MaCoy on April 10, 2019

Being prepared for the rare or unexpected medical emergency can be difficult for any clinician or medical team. Mobile high fidelity simulation is changing that, however, helping clinicians stay sharp and be prepared for the infrequent high consequence patient care event. In the following interview we talk with Joe Poole, Director of Education at Best Practice Medicine, about Simulation in Motion Montana -- the largest mobile high fidelity simulation project in the United States. Read or watch the full interview below.  

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Topics: Simulation, Emergency Medical Training, EMS Training

Training for High Consequence Encounters: Active Shooter Scenario

Posted by Nathan Williams on March 27, 2019

Last month (Feburary 8) we ran an EMS refresher course for a fantastic group of EMTs and Paramedics here at our training campus in Bozeman. As a part of that training refresher, we created a full-on dynamic, emergency medical, rescue task force simulation based around a post active-shooter scenario. It included realistic props, obscure environments, and volunteer actors/trained medical professionals wearing full moulage makeup. This kind of hyper-realistic, immersive, simulation based education helps teams prepare mentally and physically for high consequence encounters.

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Topics: Simulation, Emergency Medical Training, EMT Training, EMS Training

Why Remarkable Training Matters So Much

Posted by Ben King on March 19, 2019

“We need the most experienced intubator, right now!!...”

The panic and tears in the patient's eyes is alarming. A lethal combination of pain, hypoxia, low dose paralytics and chaos contribute to her tachycardia, tears, cold clammy skin, rapidly dropping oxygen concentration, and terror.

Our flight team sizes up the case quickly. The patient received the wrong RSI medication package; she is not adequately paralyzed and is partially conscious. Multiple semi awake intubations have been attempted by no fewer than three health care providers, rendering the previously a-traumatic airway bloody and swollen.

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Topics: Simulation, From The CEO, Emergency Medical Training

Why You Should Go to The Simulation in Rural Healthcare (SIRH) Conference - 2019

Posted by Nathan Williams on March 19, 2019

Next month, April 16-18, is the SIRH Conference, held this year in Omaha, Nebraska. This is the "Conference For American’s Rural Health Simulation And Education Specialists." If you haven't heard of it, it's a must-go event for any person or organization interested in or connected to rural healthcare in America, purpose-built for rural and remote educators. Made possible by the Helmsly Charitiable Trust, this is a gathering of national thought leaders and pioneers looking to network, learn, and move forward this growing and exciting field of clinical education. This is just the beginning for this dynamic, game-changing specialty and we need every thought-leader and change-maker on board.

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Topics: Simulation, Events

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